Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $170.33 / $177.14	Facility		$130.10	$170.33	$177.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $205.11 / $239.20	Professional		$152.07	$205.11	$239.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $357.90 / $376.15	Facility		$222.79	$357.90	$376.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.74 / $214.95 / $217.64	Professional		$172.74	$214.95	$217.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.43 / $504.64 / $748.32	Facility		$268.43	$504.64	$748.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.90 / $483.17 / $603.37	Professional		$357.90	$483.17	$603.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $458.98	Facility		$297.81	$297.81	$458.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $1,923.71	Professional		$217.40	$297.81	$1,923.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $228.10 / $285.12	Professional		$187.04	$228.10	$285.12
United Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $191.34 / $286.32	Professional		$119.03	$191.34	$286.32